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@mxpxchik11 I would listen to the Dr. I am not sure what kind of practice you are going to, but the one I went to has a shared dietitian. The information in the book and what the dietitian said are not the same as what my Dr said. He actually gave me a separate sheet that he just gives to his patients on how he wants you to eat. Every Dr and Surgeon I know on a personal level (friends, family friends) all eat Paleo/Keto/Low Carb. If your Dr is telling you below 25 grams, follow their advice. It is honestly very easy to do anyway, if you are just eating protein and veggies. Your dietitian is right about eating more meals and getting your calories to 1000, you want to get your calories to 1000-1200 ASAP so you aren't stuck eating under 1000 calories forever. At that stage I ate 5 times a day, and I still eat 4- 5 times a day now at almost 2 years so I can meet my protein goals.

Oh No sorry to hear that you were so sick, I'm glad your doing better now and are able to keep things down.... The keto thing makes sense with the high fat causing gallbladder issues. I recently learned that the gallbladder helps break down fatty tissue. So maybe a high fat diet can overload your gallbladder... that my doctoring for the day lol. I did the keto thing for a while before surgery but as i stated before I'm in love with carbs and we have a bad relationship its one sided... I get all the bad stuff out of it. Anyways I really hope those videos help and you get past your stall soon.

Hi June folks, Im hanging in there. I think we all have are good days and bad days but I try to focus on the good and why I decided to do this. I think once we all make it closer to that 1 year mark things will become alot easier. I have my stalls as well and it use to get to me but now I just stay consistent, make adjustments from time to time and continue to work out. During those stalls I still notice a change in my clothes, so eventho i didnt loose weight or gained a few pounds clothes are still getting closer, its weird. For those having stalls for long periods of time try tracker your food, I stay away from Protein power and anything that says Keto. That made a difference for me. Hang in there guys.

October 3 here and day 7 of my pre op diet. I have already lost 12lbs in this 7 days. Crazy. I have been feeling so ready up until this morning when I noticed the keto breath and realized I am full on in ketosis. I keep thinking there are people out there that lose their weight with just a keto diet and exercise not surgery. I know it is just cold feet and I have been expecting this to happen at some point before the actual surgery. Anyway, off to have my Protein shake! Sent from my iPhone using the BariatricPal App

I’m struggling to but I’m like forget it lol. I would prefer a list of what to eat but they said start adding things. I scan everything I buy to make sure it’s ok. The pork rinds are great for that chip craving but I only eat like 4. Great protein. For me I’m just trying things out and seeing if they work. Still pretty bland but I have had shrimp and ground beef tacos on those keto street tacos. This week flavored drinks are giving me problems so only water right now doesn’t make my stomach gurgling. It’s all new but we getting there.

Tripple yummy looking! I cant' wait!!! I don't know what's gotten into me but lately I've been watching all these youtube bariatric, whole30 and Keto cooking shows. Today I just bought a Instapot and a Air Fryer to get ready to eat again. I'm not craving anything, but just want to eat healthy from the start.

I've been taking notes from @Arabesque and got 4 oz containers to prep mini meals in once I can eat again! Things like meatballs are a great tip, they are definitely more tender than chicken breast! I've been thinking that poached chicken thighs might be good because poaching makes the texture so much more tender. I also found this recipe for keto chicken and dumplings and can tell you now I will be having that as soon as I hit soft foods. That is my ULTIMATE comfort food. LOL I know some also recommend deli meat because the texture is so soft and goes down easy. In our diet classes we've been encouraged to eat a lot of seafood on the soft food diet because the textures lend themselves well to it. I'm not a huge seafood fan but I've ordered some things to try when I get there. I'm still in the liquid phase right now. It is lasting forever...

I like to see everyone getting a minimum of 700 calories after the first month or so. That would be 80g protein, 33g fat, 20g net carbs. This still results in ketosis, but provides the minimum fatty and amino acids required. (I set protein a bit higher to offset the low carbs and fat. More calories (1000) allows less protein.. but never drop below 60g protein). A true ketogenic diet provides a lot more fat and calories than 700. Personally I was over 800 at 4 weeks, and 1000 at 8 weeks (non-keto), but some people can't lose well on a thousand. 700-800 is a sweet spot for maximal losses while still hitting nutrient goals.

Keto flu is usually shortly after you start the keto diet, was 3 days into pre-op for me. Is it the actual flu?

Wow, that will be quite the savings for you. What you going to do with all that extra money??? LOL I was doing OMAD (one meal a day) and Keto for the last couple years without much luck. So I wasn't getting takeout very often. Except on Chinese Fridays. I bought a side of beef from a local farmer and filled up my freezer pre-op, so I should be set now for a good long time, protein wise. Grilled steak is still a struggle to eat. But cooked in the Instapot with beef broth and veggies (Swiss steak for example) works well for me. Along with roasts and lean hamburger in various dishes. Soups are still my friend so looking forward to cooler Fall weather. I allow an occasional carb. Potatoes, corn on the cob, baked beans, low carb tortillas but for the most part, meat and veggies are my mantra. Oh and low fat dairy. So yeah, I spent my food savings ahead of time on the moo cow >

#16 Listened to the Keto Diet Podcast (Leanne Vogel), episode w/ Ashley Salvatori. I play with keto but I am not all in. Still can't believe that so much fat can ultimately be good for you. Especially since many of the people in my IF groups that do keto have terrible bloodwork. But i am open minded---and desperate!! #17 Did this last weekend, but I can't seem to dump my old clothes. they are piled in bags in the bottom of my closet. Day 3 of my no junk food challenge. I want to murder someone.

I liked your post because I like carbs. But eating too many carbs, "bad" carbs, calories, sugar, fried food, ethnic food, etc. got me to the point where I hopped under the knife Monday. I think the research and trends on diets go in cycles and obviously different things work for different people. Weight loss research is particularly hard to parse because entities like food and drug companies fund a lot of the research. In the 80s many dieters were on low fat diets. Fat was a dirty word and we ate carbs, did aerobics, and some lost weight. Now some of my friends are doing keto and some are doing high protein. I've been told there may still be small amounts of tortellini in my healthy future. And I'm happy about that.

Hey there! I was wondering if I could get some feedback from individuals who have combined bariatric surgery with the ketogenic diet, and what your progress has been with it. Specifically wondering if you've seen it maximize your weight loss.

Which store please? Also a massive cauli fan here - hangover from my keto days when I must have eaten it almost every day in some form. And celeriac (celery root). Makes nice pretend fries baked in the oven with oil, and also very low carb and low calorie. I have never tried cauli as wings - definitely gonna give that a go - thank you for that idea!

breakfast this morning on Day 1. Or should I say Brunch, cuz I just ate it. Turned out to be one of my Psylli Egg McBiscuits The biscuits are one of my creations and are totes legal for CAMAW! Warning this biscuit is a total gut bomb. You have to have ZERO swallowing issues and be fully hydrated BEFORE eating it! I used different ingredients for this one, but you can read the cooking instructions here on my old - now defunct blog. http://fluffychixcook.com/egg-fast-breakfast-biscuit-low-carb-keto-breakfast-yum/

Hi everyone, I was sleeved 2/8/2018 & today marks 3 weeks post op! Overall i have been feeling pretty good. My only struggle is having a 2 & 3 year old (Who wants me to pick them up) AND a husband who is on the Keto Diet (all meats) lol... STATS SW: 286 CW: 263.2 GW: 175 23 lbs lost so far!

Thanks for responding, Fluffy, especially with such a well-thought out post. I understand now that I may be 'too early' in the process. I'm such a slow loser and am hitting multiple stalls...that I was looking for anything I could do that would help. I have started tracking my food/water/liquids intake in the myfitness tool now that I was given macros by my dr's office but their plan has me consuming more carbs than I am comfortable with as I'm a big keto devotee and I lose better when I keep carbs low as a general rule. I did 'Atkin's' way back in the day and lost 80 lbs and kept it off for a decade. I restarted a keto WOL 15 months before having surgery as this way of eating helps my body feel better. Now I'm wondering should I follow dr's plan & not attempt to modify to be lower carb...unsure if only being 2 mos post op if my body would prefer that...but having had this body for a number of yrs (lol), I have such a difficult time losing weight...period. Usually it comes off much faster when I keep carbs below 20 ideally...or 30 for a stretch. Below is your list and I just wanted to put my responses in but I get what you are saying about it being too early for me to do IF. I'm hoping some of the things on your list that I'm already doing will have me better prepared should I go down the IF route later in this process: 1. FOLLOW your doc's and RD's plan for you and the stage you're eating at. You MUST be able to easily get the required protein in per day that they prescribe for you. And the amount of fluids you're told to consume. 2. Follow the rules of WLS. No eating drinking 15/30 or 30/30 depending your doc's plan. 3. Get ALL of your daily Vitamins in without skipping a single dose. I've been fortunate that I haven't had an issue with this even directly after surgery 4. Get to walking. And maybe even get to doing core strengthening exercises. Started hiking with youngest daughter several weeks ago. We've been consistent to this day. We currently do 2 x's a week and are looking to increase this but waiting for temperatures to cool down so we can do so..I also swim in my pool a couple times a week. 5. Protein first at every meal/snack >> al dente veggies >> a tiny bit of healthy fats (and that's it). Protein always first, especially since I'm only 2 mos post-op. If protein goes down ok, then I eat whatever veggie if i have one. 6. Cut out ALL C.R.A.P. (google it)--that means no sugar, grains, starchy root veg, starches, refined products, fake stuff, "treats" such as Protein Bars or Water drops. Severely limit the use of sugar substitutes. Did this 17 mos ago when I embraced keto WOL although I never believed in enormous intake of fat so my version had fats limited to ones that are healthier. I tended during this time to stay away from protein bars but if in a desperate pinch as I had a bad habit of not eating regularly (working so much I'd forget to eat, etc.) I might have one. I was a big user of artificial sweeteners during this period although I kept an eye on the research about them possibly causing hunger and many other things about them. Currently my limitation is 2 to 3 packets of splenda (or another fake sugar) a day in my post-op world. 7. Start drinking green tea now (I use decaff) and look into Earl Grey Tea. Ironically I just got a tea brew bottle and a pack of..I think it is green tea in a subscription box that I get. 8. Try to keep your carbs to <30g net per day (subtract Fiber grams of carbs from the total carb count to get net carbs. Yes, I'm a big believer in this! Trying to figure out how to fight myfitness pal as it does not have food listed in its DB, from what little I've seen, with net carb count. I may have to hand add all my stuff 9. No "snacking". Eat 3 meals + 1-3 small mini meals per day in order to limit meal portions to the volume recommended by your doctor and to reach your protein totals each day. A mini meal is an organized, orderly, planned event. Snacking is not. Snacking is hedonistic and reckless and it's possible to do a lot of damage with a single snack event. Since I'm 2 months post-op..this is usually covered although I am not yet this structured as I'm still having occasional issues at mealtime. My mini-meals are not yet planned, thought out events. Well, it's more like I know I will have a carbmaster yogurt in between my breakfast premier protein shake and my next 'meal' which is always an intake of real protein (i.e. meat that I can tolerate and is not a fatty meat). I also will parse out 7 almonds, etc. I think where I'm at is more like 'practicing for where I need to be'? I DID find myself recently..and it is always late at night as often don't eat my 1st meal of the day until almost 11 AM...going to get sugar free jello, sugar free popsicles but I was NOT hungry. It is old habits trying to creep back in. Was really upset that I started to 'go there'..this is a very slippery slope for me! 10. Aim to get 2-3oz of protein per meal (lean dense protein, no casseroles, no deeply satisfying gooey cheesy high reward meals. Keep is simple: grilled chicken, sauteed chicken, poached or sauteed fish, etc. No meat lube or stuff that adds to the pleasure of the food experience. My protein meals are much like what you said. Haven't had a casserole yet...wait, I did. It was shredded chicken I made in crockpot with chicken broth,fat free cream cheese and salsa..but no cheese involved. It is one of the few ways I can get 'moist' chicken. The macros do fit into my keto version including keeping the fat down more than most keto plans.

My surgery is also scheduled for 2/24. Pre-op diet for me starts this Thursday. I’m so tired of yo-yo dieting, fasting, low carb, high carb, low fat, keto, etc. Getting ready for a new start! Good luck for surgery. You got this. We got this!

Fluffy has awesome recipe ideas. Particularly, if I were a keto person, I'd watch for her recipes.

I am about 5 years post-op and definitely regret it as well for mostly the same reasons as SleevedK above. Yes, I lost quite easily at first but that only lasted the first year. After that I could not lose anymore no matter what I tried. The worst thing? I am ALWAYS hungry. Before I had VSG, I had done low carb/keto for quite awhile and lost well and had a lot of energy. Part of that is eating plenty of fat which keeps you full. Unfortunately, after VSG I could not eat much fat. Protein first of course, but if I had too much fat I'd get sick. I also LOVE vegetables and can no longer eat much of them. I fill up quickly at a meal but am starving an hour later. I was told that at least in the first 6 months or so, hunger would never be a problem b/c the part of your stomach they remove is where the hunger hormones are secreted and that eventually that would come back. I was hungry from day one and it never changed. The biggest disappointment to me was that I did want the bypass. I went in for surgery and woke up to find I had nothing done. Doctor tried but could not pull my intestine far enough forward to attach it without stressing the incision. I went on a liquid diet for a month and lost 22 more lbs, tried again with the agreement that if it still wouldn't fit, he could go ahead and do VSG and that's what I woke up with. My surgeon has a very good reputation and I trust him. My body has always done weird things. Not sure if it's just all the fat in the omentum around the intestines that was the cause or adhesions from my previous gallbladder surgery, although he did say he broke down some of those. By 3 yrs post-op I'd not only not lost anymore but started regaining. The regain is totally MY fault, not the surgery, but I was so tired of fighting to lose with no results that I began eating junk food again and it crept up. All told, I lost 85 lbs and regained 28, and have been sort of stuck there. I'm now revisiting trying to do low carb since it works for me once I get past the initial cravings, etc. I had some GERD prior to surgery but it went away with the weight loss, only to return with a vengeance after i began to regain. It is MUCH worse than it ever was prior to surgery. I have not had an endoscopy to see if there is a hiatal hernia or anything yet; it's on my list to get checked out soon.

Snap! I'm 11 months out with Dr De Bruyne, so we have been on a similar journey. Although when the doc took it my blood pressure was normal, I have been getting orthostatic hypotension for the past few months so I do wonder if it's related. I've much improved since going keto so I just wonder if I've become ultra sensitive to carbs. It's a bit weird having changes this far out from surgery hey. Hope you feel better soon too!

- if both surgeries are just as easy to fail as they are to succeed, why do the research charts show this difference? Research is based on averages. The numbers you are quoting do not apply to everyone in exactly the same way....it is an aggregate of those who reach goal AND those who don’t. 1 person loses 100 lbs. Another loses 40 lbs. Average weight loss of this “control group” is 70lbs...which is no where near what each person actually lost. @catwoman7 probably explained this better than me In her earlier post, lol Second, if you need to rely on averages for your peace of mind, it may be worth your while then to look into the makeup of the studied. Age, gender, starting weight, lifestyle habits, medical conditions, genetics, etc. Daunting, yes, but more informative and contextual. But really, wanna beat the average? Stick to plan more consistently than the “average” person (barring any medical conditions of course). Also, I wanted to ask, did you get to choose the size boujie you wanted for your sleeve or know what size Dr used for you?? Doc just did his thing with no input from me. I have no idea how what size he used! Also, did you cravings and hunger completely return after 6 months or it does but slightly? My hunger levels and occurrences has not returned to pre-op levels. I can’t remember when I first felt hungry though (it was months in)...but I do remember it was a rare occurrence. Even now at 2+ years out, i still have days of just not wanting/forgetting to eat. When i do get hungry, it isn’t the ravenous kind of hunger though. And it doesn’t take much to satisfy it. Lastly, can you just do complete Keto during the first year after surgery so you stay under 20 net carbs and in ketosis? Or our body doesn't need to be in fat burning mode because of the surgery? I didnt do full-on Keto during weight-loss phase because there was no way I could get in the percentage of fat required...but I did do ultra-low carb (20 net carbs max) during that time. But number of grams of carbs consumed is no where near as important as total calories consumed for weight loss. Though going low carb does tend to make me look lean. For my body this is good, cuz i can see more muscle definition, but for my face, not so good, as I look Skelator-ish. Since I have been consuming a higher number of net carbs (anywhere in the 100-175 range) my face looks much nicer, but the bod looks “soft” P.S. sorry this was so long

Hello, I was wondering if you have done a little research on eating keto and lowering blood sugars. I really like the Dr. that started Dietdoctor.com. there is great information and videos. To see the videos, you do need to purchase a subscription at 9.00 dollars a month. However, you can do a one month free trial, just put in your phone the date you started, so you can cancel before you are charged. I kept the subscription because I find the videos informative. BTW, you can get the recipes free of charge. He doesn't charge for those. Good luck on your journey. PS. I had to find a Dr. that agreed to this lifestyle . You are eating whole fresh non packaged foods but still some Drs. do not agree. I do drink the bariatric hot chocolate however. It's my sinful pleasure, but low carb. [emoji6] Sent from my SM-G930V using BariatricPal mobile app

I tried the following recently: Truely Cereal - Fruit flavor. It wasn't bad, but it has a weird texture. It's made to look like fake fruit loops. Catalina Crunch - Keto friendly- Honey Graham. It's a very hard cereal so it required a long soak in my (oat) milk. Tasted fine, a little too sweet but not excessively so. Quaker High Protein instant oatmeals. I've tried a few flavors. Luckily my father likes them so he took sll the leftovers. Consistency and texture were fine, but they taste salty? Also they have actual (if reduced) sugars so I was hesitant to begin with. Didn't find it worth it. I've got an unopened box of Premier Protein - Mixed Berry cereal that looks promising. Fingers crossed. But that multigrain Special K looks right up my alley -- will be seeking that out.

Oh my gosh...my fellow 'July-ers'......are you in your pre-op 'diet' yet. I figure if you are in the first 10 to12 days of July or actually I've seen some folks post that they have a MONTH long pre-op - how are you hanging in there? I've been doing keto prior to getting approved so protein shakes like Premier were already part of my super busy work life as meal replacements as otherwise I'd have skipped meals which is not good. Gotta say...yeah, I'm hungry! REALLY hungry..the actual stomach true hunger, not head hunger/emotional hunger. I can endure stomach growling, etc. throughout day but I've always found it almost impossible to get to sleep if extremely hungry. Crossing fingers that when I pick up my sugar free popsicles today, I have something to 'chew'. Wonder how many of those I'd need to eat to make hunger go away, but isn't liver shrink based on being REALLY LOW CALORIES - like 600 or less? Are y'all tracking your calories too to make sure extra ones aren't sneaking in..although how many extra can sneak in from sugar free jello, I don't know..but I can see protein shakes adding up! Today is my first day of 'all liquids'! Well, it is odd that my doc gave me 1 set of guidelines; however the nutritionist group we all had to see - he referred us, have a slightly different set of guidelines (making my eyes cross). Going to call his office to clarify but I'm SO worried about my liver not being 'shrunken' enough to operate on me, I'm thinking of sticking with what I got from the nutritionist office anyways. With confusion from my own dr about when to start the pre-op diet - I actually started on day..um..8.5 (not 10 and he had told me '7' verbally..so confused). I figure my liver must be ginormous as my BMI is 56 so.....I decided may be best with 7 days left before surgery (CANNOT believe I'm SAYING THAT!!), that I'm going to do full liquid starting today (so 1 day early) and will follow dr's notes on doing clear liquid only Days 1-3 prior to surgery. Doc Office says: Days 7-10 soft food diet (although dr told me on way out when I teasingly fussed about 10 days, he said '7'?? Days 4, 5, and 6 - Puree Food Diet Days 1, 2, and 3 prior to surgery -Clear Liquid Diet Nutritionist Documentation says: Day 6 - 10 prior to surgery - Soft Diet Days 3, 4, and 5 - Full Liquid Diet Days 1 & 2 - Clear Liquid